NPI | 1811416936 |
---|---|
Former Name | REBECCA CHANDLER-HUMPHRIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY29465) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 29465) |
Enumeration Date | 2017-09-11 |
Last Update Date | 2019-09-27 |