NPI | 1861623001 |
---|---|
Former Name | DAWN ODENHEIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY29825) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-08-06 |
Last Update Date | 2018-07-11 |