NPI | 1497833321 |
---|---|
Former Name | ELLEN M FLANAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 009278) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00132200) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2009-07-30 |