| NPI | 1851357537 |
|---|---|
| Former Name | JUNE LOUISE GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA P3004676L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000041) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-07-08 |