NPI | 1164856217 |
---|---|
Former Name | HILARY JANE BRODERICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 8982090-2501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2013-08-26 |
Last Update Date | 2024-03-22 |