NPI | 1104296102 |
---|---|
Former Name | CLAIRE ELIZABETH CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: SC 1358) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: SC 1358) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2024-07-24 |