NPI | 1427191386 |
---|---|
Former Name | JANINE SAUNDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA PY00002482) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4664-025294) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-07-08 |