| NPI | 1245572015 |
|---|---|
| Former Name | BETHANY MICHELLE WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2821) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2018-03-17 |