NPI | 1427364462 |
---|---|
Former Name | CALLAN ELIZABETH POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY32014) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-08-27 |
Last Update Date | 2022-01-27 |