| 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 | 103T00000X Psychologist (Licence: CA PSY23205) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA PSY23205) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-12-30 |