NPI | 1801569355 |
---|---|
Former Name | ALLISON MELISSA COTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08217) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 6890) |
Enumeration Date | 2021-07-30 |
Last Update Date | 2025-10-10 |