NPI | 1194458380 |
---|---|
Former Name | KARA ANN NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH SP.00690) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2022-07-05 |
Last Update Date | 2022-07-05 |