| NPI | 1255391561 |
|---|---|
| Former Name | PATRICIA ANN PELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1841) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: NC 1841) |
| 103T00000X Psychologist (Licence: NC 1841) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NC 1841) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |