| NPI | 1922069566 |
|---|---|
| Former Name | WALANDA VIOLET WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3289) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 3289) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2017-03-16 |