NPI | 1255383618 |
---|---|
Former Name | RUTH WITTERS-GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000580) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810003439) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2022-07-21 |