NPI | 1639236474 |
---|---|
Former Name | MARIA FAYE VAUGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3244) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3244) |
1041C0700X Social Worker, Clinical (Licence: TN 3887) | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2025-01-28 |