| NPI | 1194216374 |
|---|---|
| Former Name | SONYA LYNN GIFFORD-CORNWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OK 1309) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: OK 1309) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: OK 1309) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OK 1309) | |
| 103TH0100X Psychologist Health Service (Licence: OK 1309) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-09-25 |