NPI | 1306970371 |
---|---|
Former Name | MARY BRIANA HOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26648) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: CA npi1306970371) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2014-09-19 |