NPI | 1225258510 |
---|---|
Other Name | CAROLE DENTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007611L) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 355100408600) |
Enumeration Date | 2007-04-27 |
Last Update Date | 2015-03-24 |