NPI | 1093966483 |
---|---|
Former Name | HEATHER M CUATOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3600) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY26791) |
103T00000X Psychologist (Licence: CA PSY26791) | |
Enumeration Date | 2008-10-03 |
Last Update Date | 2019-09-12 |