NPI | 1356536981 |
---|---|
Former Name | REBECCA H MCNALLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042804A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 9572) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2020-12-16 |