NPI | 1285968586 |
---|---|
Former Name | ELEANOR MARIE RACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: DC PSY1000484) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2009-09-21 |