NPI | 1235488008 |
---|---|
Other Name | NICOLE SHEWEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 10158726-2501) |
Additional Taxonomies | 103T00000X Psychologist (Licence: UT 10158726-2501) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2023-08-11 |