NPI | 1568594000 |
---|---|
Other Name | MAI CHAMPLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 21265) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 17136) |
Enumeration Date | 2007-03-11 |
Last Update Date | 2007-07-08 |