| 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) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-05-06 |