NPI | 1568744571 |
---|---|
Former Name | REBECCA M SPALDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 171927) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 171927) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2017-01-19 |