NPI | 1255656393 |
---|---|
Former Name | KAREN B TRAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004385) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC004083) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2022-07-22 |