NPI | 1114707395 |
---|---|
Former Name | NORA KENDALL PLUMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP03246) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2024047139) |
Enumeration Date | 2023-10-04 |
Last Update Date | 2024-12-16 |