NPI | 1366835217 |
---|---|
Former Name | EMMA ARLENE PORTERFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY29509) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2024-08-05 |