NPI | 1285691311 |
---|---|
Former Name | MALORIE K MCCAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7518) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1316) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2023-06-14 |