NPI | 1700073624 |
---|---|
Former Name | FRANCES LINDSAY GRAEVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: SC PSY1811PSY) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6372) |
103T00000X Psychologist (Licence: UT 7538970-2501) | |
Enumeration Date | 2007-09-25 |
Last Update Date | 2024-07-23 |