NPI | 1619248416 |
---|---|
Former Name | KARRI ZUMWALT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34702) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34702) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2023-12-01 |