NPI | 1639517659 |
---|---|
Former Name | SHEILA ANNETTE TEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 4583191) |
Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: NM 4583191) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NM 4583191) | |
Enumeration Date | 2013-06-12 |
Last Update Date | 2018-03-17 |