NPI | 1639589997 |
---|---|
Former Name | KARIS PEARSON FITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4563) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 4563) |
Enumeration Date | 2014-05-07 |
Last Update Date | 2015-06-03 |