| NPI | 1811363062 |
|---|---|
| Professional Name | MIRYAM WELBOURNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 3491) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2018-12-12 |