NPI | 1174625578 |
---|---|
Former Name | ERICA S THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35196) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 101276418) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2014-05-06 |