NPI | 1104075571 |
---|---|
Former Name | REBECCA LOUISE MOTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301015427) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6696) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2014-03-27 |