NPI | 1184649378 |
---|---|
Other Name | WANDA DENNIS JOUBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011636) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003531) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2022-10-03 |