NPI | 1275694986 |
---|---|
Former Name | DOROTHY B CLEMENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: RI RI377) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4612) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2010-07-24 |