NPI | 1902904477 |
---|---|
Other Name | MARY BREWSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008462) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SC 633) |
103TF0000X Psychologist, Family (Licence: SC 633) | |
103TS0200X Psychologist, School (Licence: SC 633) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-04-11 |