| NPI | 1174853584 |
|---|---|
| Former Name | GRACE ALLEN WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY23235) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2024-04-29 |