NPI | 1861161861 |
---|---|
Former Name | ANNA SYLVIA LOOMIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5274-57) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: WI 5274-57) | |
Enumeration Date | 2021-09-13 |
Last Update Date | 2024-10-09 |