NPI | 1699869222 |
---|---|
Former Name | ROBIN CAROL THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA CA PSY 14464) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA PSY14464) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2025-04-28 |