NPI | 1972900140 |
---|---|
Former Name | HEATHER CHATEAUVERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019224) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6351003943) |
103T00000X Psychologist (Licence: MI 6301016172) | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2023-05-01 |