NPI | 1801330600 |
---|---|
Former Name | DEVIN C CAREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.009441) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009441) |
Enumeration Date | 2016-12-13 |
Last Update Date | 2019-03-13 |