NPI | 1962215400 |
---|---|
Former Name | TORY SKYE MERTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5335-57) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2025-01-29 |
Last Update Date | 2025-03-17 |