| NPI | 1295743268 |
|---|---|
| Former Name | MARTHA JANE ADAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361003944) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301009385) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-04-30 |