| NPI | 1528258829 |
|---|---|
| Former Name | MERCEDES MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 0955) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2012-12-17 |