NPI | 1225475833 |
---|---|
Former Name | CINDY PHILLIPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: NC 102992) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 102992) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2013-05-23 |