NPI | 1538396817 |
---|---|
Former Name | SELINA MARIA HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014668) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014158) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2012-10-02 |