NPI | 1376775338 |
---|---|
Former Name | COURTNIE LEIGH BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022036660) |
Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1369) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2024-09-25 |