NPI | 1144600131 |
---|---|
Former Name | CHRISTINA M LOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 3686) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MO SUBMITTED) |
103TC0700X Psychologist Clinical (Licence: KS SUBMITTED) | |
Enumeration Date | 2015-06-04 |
Last Update Date | 2023-06-30 |