| NPI | 1487899340 |
|---|---|
| Former Name | PATRICIA MCILVRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY0005692) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022575) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2024-08-15 |