NPI | 1205125317 |
---|---|
Former Name | JOAN KELLY MCARTHUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: MI 6301009673) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2011-03-30 |