NPI | 1396061719 |
---|---|
Former Name | KRYSTLE A ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 955) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MO 2015016431) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2019-08-06 |