NPI | 1942472790 |
---|---|
Former Name | NICOLE MARIE BAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60067488) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2008-04-01 |
Last Update Date | 2025-01-31 |