NPI | 1134226806 |
---|---|
Former Name | ANNA BROOKE BUSKIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00003452) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2024-10-29 |