NPI | 1225294234 |
---|---|
Former Name | ROBIN CAROL POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: CO 008595) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 1131) |
103TS0200X Psychologist, School (Licence: CO 0352018) | |
103TS0200X Psychologist, School (Licence: NM 220680) | |
Enumeration Date | 2008-07-30 |
Last Update Date | 2012-04-05 |