| NPI | 1811558216 |
|---|---|
| Former Name | VALERIE FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301019454) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 6301017603) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-08-19 |