NPI | 1730769365 |
---|---|
Former Name | CLAIRE DEDE GANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10230) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2021-04-08 |
Last Update Date | 2023-06-09 |