NPI | 1992932784 |
---|---|
Former Name | JOY AMANDA MOBLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60090962) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60090962) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2018-12-12 |