NPI | 1740203793 |
---|---|
Former Name | LINDA JOAN HAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002282) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY 1041) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2022-07-21 |