NPI | 1922387661 |
---|---|
Former Name | CYNTHIA HOLLOWAY KELVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 2012665) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2011-08-12 |
Last Update Date | 2024-10-25 |