NPI | 1164575924 |
---|---|
Former Name | CERI DIERST-DAVIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 21286) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 21286) |
103TC0700X Psychologist, Clinical (Licence: CA PSY 21286) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2022-02-11 |