NPI | 1265457576 |
---|---|
Former Name | ALISA LYNN OSTGARD-MURRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002020) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00002020) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2024-02-02 |