| NPI | 1770969305 |
|---|---|
| Former Name | ALLIE DERANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38916) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 5014) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2021-09-02 |