NPI | 1063490514 |
---|---|
Other Name | LETICIA C AMICK LOFTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY 21549) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 3497) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2014-04-02 |