NPI | 1275517005 |
---|---|
Former Name | DEBORAH TYSON RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY4181) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY4181) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2020-07-01 |