NPI | 1912287863 |
---|---|
Former Name | EILEEN RIGDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005391) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: AZ 4363642) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2022-05-11 |