NPI | 1801400288 |
---|---|
Former Name | CAROLYN PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003966) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 3966) |
Enumeration Date | 2020-09-03 |
Last Update Date | 2023-11-10 |