NPI | 1255353728 |
---|---|
Other Name | SUZANNE LYNN MULCAHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1419) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016198) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2008-03-10 |