NPI | 1336320233 |
---|---|
Former Name | ESME ALEXANDRA LONDAHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 21682) |
Enumeration Date | 2007-11-19 |
Last Update Date | 2007-11-19 |