NPI | 1134267321 |
---|---|
Former Name | MAUREEN LOWELL MASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24796) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-02-01 |
Last Update Date | 2012-02-23 |