NPI | 1932344884 |
---|---|
Former Name | ROSEMARIE ALIANA SCURLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA RPS2004247) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA RPS2004247) |
Enumeration Date | 2008-12-06 |
Last Update Date | 2008-12-06 |