NPI | 1972766848 |
---|---|
Former Name | CAROLYNN MARIE LANGSDALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26218) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY26218) |
103TF0000X Psychologist, Family (Licence: CA PSY26218) | |
Enumeration Date | 2008-07-09 |
Last Update Date | 2024-10-11 |