NPI | 1114075520 |
---|---|
Former Name | JANET ELLEN ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-642) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: HI PSY-642) |
103T00000X Psychologist (Licence: HI PSY-642) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |