NPI | 1629008313 |
---|---|
Professional Name | GEERTINA ELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2167) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC NC2167) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-04-15 |