NPI | 1386867588 |
---|---|
Former Name | MARIE PERRY HUME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 5748) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL 5748) |
103TC0700X Psychologist, Clinical (Licence: GA 2150) | |
103TF0200X Psychologist, Forensic (Licence: FL 5748) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-07-11 |