NPI | 1922489228 |
---|---|
Former Name | MAGGIE KATHERINE MONK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08611) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P3429) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-11 |
Last Update Date | 2024-04-11 |