NPI | 1124631999 |
---|---|
Former Name | PAMELA DAY JUSTIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: DE 104875) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2020-08-31 |
Last Update Date | 2020-09-01 |