NPI | 1093338386 |
---|---|
Former Name | ERIN MAUREEN GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 31832) |
Additional Taxonomies | 103T00000X Psychologist |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 31832) | |
Enumeration Date | 2020-05-21 |
Last Update Date | 2022-10-03 |