NPI | 1285960435 |
---|---|
Former Name | JACQUELINE N DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: AZ PSY-005312) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AZ PSY-005312) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2021-01-05 |