NPI | 1497801831 |
---|---|
Former Name | LANA HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810006031) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: TX 36725) | |
225A00000X Music Therapist (Licence: CA 07084) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2018-08-23 |