NPI | 1629178413 |
---|---|
Other Name | RITA CORLEY-BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004121) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000395) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2008-07-02 |