NPI | 1902952393 |
---|---|
Former Name | MONICA LEA FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5061) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY14550) |
103TC0700X Psychologist, Clinical (Licence: CO PSY0004961) | |
103TC0700X Psychologist, Clinical (Licence: WI 23358) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2023-06-08 |