NPI | 1083827034 |
---|---|
Former Name | JOYCE LYNAE MCEWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 301) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 804) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2008-04-30 |