NPI | 1396978466 |
---|---|
Former Name | LAURA FELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27600) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY27600) |
Enumeration Date | 2009-08-24 |
Last Update Date | 2016-01-06 |