NPI | 1548038086 |
---|---|
Former Name | LADONNA NOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0000X Psychologist, Family |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12056) |
Enumeration Date | 2023-12-14 |
Last Update Date | 2024-04-04 |