NPI | 1790217578 |
---|---|
Former Name | ALLISON ROSE CHAMBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60709641) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2760) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2023-12-03 |