NPI | 1689745861 |
---|---|
Former Name | CORINNA YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY20004) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY20004) |
103TH0100X Psychologist, Health Service (Licence: CA PSY20004) | |
Enumeration Date | 2006-11-10 |
Last Update Date | 2016-04-28 |