NPI | 1922344266 |
---|---|
Former Name | ANNE BRANNON JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8903) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8903) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2019-11-05 |