NPI | 1639288434 |
---|---|
Former Name | CATHERINE MARIA FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 25350) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12546) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2025-01-03 |