| NPI | 1942620646 |
|---|---|
| Former Name | JOY POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY10367) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 10367) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2019-04-22 |