| Former Name | BERNADETTE MARIE BULLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TA0700X Psychologist, Adult Development & Aging |
| 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TE1100X Psychologist, Exercise & Sports |
| 103TF0000X Psychologist, Family |
| 103TH0004X Psychologist, Health |
| 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2012-10-25 |