NPI | 1144621533 |
---|---|
Former Name | ASHLEY A BRIMAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 34460) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2957) |
Enumeration Date | 2014-09-04 |
Last Update Date | 2023-09-05 |