NPI | 1245856152 |
---|---|
Former Name | DESTINY SINGLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08355) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2025-05-15 |