NPI | 1548385222 |
---|---|
Former Name | SHONA KATHLENE STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AR 04-15P) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AR 04-15P) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2011-07-20 |