NPI | 1134405590 |
---|---|
Former Name | LERYN DOGGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY31190) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC1900X Psychologist, Counseling | |
Enumeration Date | 2011-10-31 |
Last Update Date | 2023-05-18 |