NPI | 1326021551 |
---|---|
Former Name | DONA EVA CRAGAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3723) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 4541) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2020-09-03 |