NPI | 1265099022 |
---|---|
Other Name | SHELLEY GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 013537-01) |
Enumeration Date | 2019-05-28 |
Last Update Date | 2023-11-27 |