| NPI | 1285986281 |
|---|---|
| Former Name | LINDA PHOSALY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1016) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 5367) |
| 101Y00000X Counselor (Licence: NE 605) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2020-08-28 |