NPI | 1093710485 |
---|---|
Professional Name | CARYLL LYNNE JEFFERIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004070) |
Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004070) |
103TC0700X Psychologist, Clinical (Licence: NC 2775) | |
103TC0700X Psychologist, Clinical (Licence: NY 014694) | |
Enumeration Date | 2005-06-14 |
Last Update Date | 2023-02-27 |