NPI | 1366959751 |
---|---|
Former Name | DEVON E BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P.08167) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-01-07 |
Last Update Date | 2021-07-13 |