NPI | 1376572859 |
---|---|
Former Name | JOANNE WILCOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS008979L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS008979L) |
103TC0700X Psychologist, Clinical (Licence: PA PS008979L) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2012-02-02 |