NPI | 1437358785 |
---|---|
Former Name | DEANNA POLLET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048-0134129) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3225) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2024-06-03 |