NPI | 1487690988 |
---|---|
Former Name | JOI PHELPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 0992) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2003005720) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2009-11-21 |