NPI | 1144594474 |
---|---|
Former Name | CAROLINE BLISS BROWNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008925) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.008925) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2021-07-26 |