NPI | 1356416929 |
---|---|
Former Name | ERIN HANRAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810004123) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2010-05-10 |