NPI | 1376657395 |
---|---|
Former Name | BARBARA LEE CRITTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040724A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20040724) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2017-12-08 |