NPI | 1659679827 |
---|---|
Former Name | DAVID SCOTT MILLER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: WA PY60560787) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60560787) |
103TC1900X Psychologist, Counseling (Licence: WA PY60560787) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: WA PY60560787) | |
Enumeration Date | 2011-03-11 |
Last Update Date | 2022-07-21 |