NPI | 1285067306 |
---|---|
Former Name | SAMANTHA ANN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WI 5002) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 5002) |
Enumeration Date | 2013-08-12 |
Last Update Date | 2024-01-11 |