NPI | 1518246636 |
---|---|
Former Name | SHELIA M MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34693) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
Enumeration Date | 2011-08-07 |
Last Update Date | 2011-08-07 |