NPI | 1780774711 |
---|---|
Former Name | KRISTIN D SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019599) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016784) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2013-07-10 |