NPI | 1710290424 |
---|---|
Former Name | AIMEE LOUISE ADRAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7427) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 23609) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2020-10-22 |