| NPI | 1811285836 |
|---|---|
| Former Name | SYNITA MEQUINN PRYOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: GA PSY004326) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA 004946) |
| 103T00000X Psychologist (Licence: GA PSY004326) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: GA PSY004326) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: GA PSY004326) | |
| 103TC0700X Psychologist Clinical (Licence: GA PSY004326) | |
| 103TH0100X Psychologist Health Service (Licence: GA PSY004326) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-12-01 |