| NPI | 1902936321 |
|---|---|
| Former Name | CAROLYN FRANCES EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23205) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY23205) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-11-15 |