NPI | 1477786309 |
---|---|
Former Name | ALEXANDRIA KATRICE LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3707) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 3707) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 3707) | |
103TF0000X Psychologist, Family (Licence: 3707) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: 3707) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 3707) | |
Enumeration Date | 2009-08-26 |
Last Update Date | 2013-06-17 |