NPI | 1497844419 |
---|---|
Former Name | GERDA DALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 047.0000670) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 535) |
103TC0700X Psychologist, Clinical (Licence: VT 047-0000670) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2014-01-17 |