NPI | 1376585521 |
---|---|
Former Name | HELEN CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5139) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000079) |
103TC0700X Psychologist, Clinical (Licence: VA 0810000128) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2007-07-08 |