NPI | 1376755801 |
---|---|
Former Name | ERAIN MARISSA APPLEWHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist School |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 68 016027) |
103T00000X Psychologist (Licence: NJ 4728) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2011-08-22 |