| NPI | 1215087200 |
|---|---|
| Former Name | WAYNETTE BOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ND 592) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 379) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2022-07-27 |