NPI | 1467862938 |
---|---|
Former Name | JULIA WHITACRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 26312) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 26312) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2015-07-18 |