NPI | 1750515052 |
---|---|
Former Name | CHRISTINE MASON THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 23325) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 6625) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2009-05-14 |