NPI | 1922086735 |
---|---|
Former Name | DAWN C CLINARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2006029914) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2006029914) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2024-11-03 |