NPI | 1598815458 |
---|---|
Professional Name | BECKY CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC 1847) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: DC 1847) |
103TC0700X Psychologist, Clinical (Licence: MA 9786) | |
103TC0700X Psychologist, Clinical (Licence: MD 3294) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2014-06-03 |