| NPI | 1477688505 |
|---|---|
| Former Name | DEBORAH ANN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 22327) |
| Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: TX 22327) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |