NPI | 1205570603 |
---|---|
Former Name | ERIN M VANSEETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0005887) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
Enumeration Date | 2022-04-22 |
Last Update Date | 2022-10-31 |