NPI | 1083958540 |
---|---|
Former Name | BROOKE KATHRYN REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TN P3183) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-11-21 |
Last Update Date | 2018-03-21 |