NPI | 1306610837 |
---|---|
Former Name | SAVANNAH J MEROLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MO 2023047601) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: OH P.08553) |
103TC0700X Psychologist, Clinical (Licence: MO 2023047601) | |
103TC0700X Psychologist, Clinical (Licence: OH P.08553) | |
Enumeration Date | 2023-11-15 |
Last Update Date | 2024-07-17 |