NPI | 1891874616 |
---|---|
Former Name | DARLA LEGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004454) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4223) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2016-09-09 |