NPI | 1396140026 |
---|---|
Former Name | ALLISON RENEE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TN 3273) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3273) |
103TC0700X Psychologist Clinical (Licence: TN 3273) | |
103TC1900X Psychologist Counseling (Licence: TN 3273) | |
Enumeration Date | 2014-10-23 |
Last Update Date | 2024-05-28 |