NPI | 1902032725 |
---|---|
Former Name | JILL B NEALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00003515) |
Additional Taxonomies | 103TH0004X Psychologist Health (Licence: WA PY00003515) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2009-06-08 |