NPI | 1316077514 |
---|---|
Former Name | PARIS GANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9758) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: NY 019206) | |
103TC0700X Psychologist, Clinical (Licence: GA PSY003710) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2017-10-05 |