NPI | 1073916078 |
---|---|
Former Name | FLORENCE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY8684) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY8684) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2014-10-03 |