NPI | 1134850761 |
---|---|
Former Name | ANNE MCMAHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6351004663) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2022-06-23 |
Last Update Date | 2023-09-13 |