NPI | 1588770150 |
---|---|
Former Name | DEBORAH A WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3613) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2005013538) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2023-06-08 |