NPI | 1508190299 |
---|---|
Former Name | CAROLINE ODELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: ME PS1526) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 23040) |
Enumeration Date | 2009-09-28 |
Last Update Date | 2018-10-26 |