NPI | 1104080795 |
---|---|
Former Name | FRANCES LEE VAN AMSTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN P2847) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TN P2847 (prov)) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2022-07-21 |