| NPI | 1659518132 |
|---|---|
| Former Name | NEKESHIA ALLEGRA NEGUSSIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7859) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY 7859) |
| 103TF0000X Psychologist, Family (Licence: FL PY 7859) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2015-08-27 |