| NPI | 1669483848 |
|---|---|
| Former Name | ANDREA MULHEARN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2002030469) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AR 05-21P) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-02-17 |