NPI | 1265689913 |
---|---|
Former Name | CAMDEN RAE MCCLINTOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2228) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-08-25 |
Last Update Date | 2025-07-22 |