NPI | 1417527631 |
---|---|
Former Name | ALANA BURKETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 24370967) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL 1388980) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2021-06-29 |