NPI | 1215944004 |
---|---|
Former Name | BARBARA JEAN WINSHIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA 411) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 24019) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2008-10-01 |