NPI | 1407392129 |
---|---|
Former Name | CYNTHIA JOYCE HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301011417) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801019550) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |