NPI | 1649627944 |
---|---|
Former Name | HAILEY ORMAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2024032075) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05956) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2024-08-30 |