NPI | 1336934934 |
---|---|
Former Name | MYIA HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MI SP0000001063193) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 24411966) |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-04-14 |