NPI | 1558791970 |
---|---|
Former Name | MARY TEMITOPE AKINWOLEMIWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39644) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65824) |
Enumeration Date | 2013-11-21 |
Last Update Date | 2023-09-22 |