NPI | 1396023750 |
---|---|
Former Name | WENDY K MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017039) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3314) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2011-08-02 |