NPI | 1861680852 |
---|---|
Former Name | SHARON DELEE RICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: AR 12-02EI) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR 12-02EI) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2023-10-19 |