NPI | 1760852321 |
---|---|
Former Name | RIKKI SPENCER PASHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29477) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10201) |
Enumeration Date | 2015-09-25 |
Last Update Date | 2023-01-13 |