| 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 |