NPI | 1790272375 |
---|---|
Former Name | LA SHAUN TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 25586) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 25586) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2018-06-13 |