NPI | 1770654923 |
---|---|
Former Name | PATRICE LOUISE MCWHERTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2003030087) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-006722) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2014-10-22 |