NPI | 1124152103 |
---|---|
Former Name | NANCY A. HANCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01102) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00209) |
101YM0800X Counselor, Mental Health (Licence: MA 4400) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2009-01-07 |