NPI | 1205887882 |
---|---|
Former Name | PATRICIA BETH ESPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IA 01002) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 00470) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2009-10-30 |