| NPI | 1043710569 |
|---|---|
| Former Name | MONICA LYN SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY0004101) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY004101) |
| 103TC0700X Psychologist, Clinical (Licence: NY 023764) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-03-21 |