NPI | 1770817827 |
---|---|
Former Name | HOLLEY ELIZABETH FERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 60079992) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 18951) |
103TC0700X Psychologist, Clinical (Licence: WA PY60079992) | |
Enumeration Date | 2009-09-22 |
Last Update Date | 2023-04-04 |