NPI | 1902451164 |
---|---|
Former Name | ROKIA TANNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH 21174760) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH 270700) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2024-12-30 |