NPI | 1134248750 |
---|---|
Former Name | SHEILA STURGEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-202431) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: ID PSY-202431) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ID PSY-202431) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2010-01-25 |