NPI | 1134315195 |
---|---|
Former Name | SHARON MARIE RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7793) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY7793) |
103TC0700X Psychologist, Clinical (Licence: PA PS016442) | |
103TC0700X Psychologist, Clinical (Licence: NC 3447) | |
Enumeration Date | 2007-09-24 |
Last Update Date | 2022-10-18 |