NPI | 1487862470 |
---|---|
Former Name | SANDRA M FIRTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18839) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PSYC-PY.60012141) |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical (Licence: ID PSY202350) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-04-14 |