| NPI | 1992814834 |
|---|---|
| Other Name | ANNIE DE JONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15584) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY15584) |
| 103T00000X Psychologist (Licence: CA PSY15584) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |