NPI | 1255623682 |
---|---|
Former Name | BARBARA LYNNE DALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WY 545) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3581) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2020-02-18 |