NPI | 1962500587 |
---|---|
Former Name | KIMBELRY C. JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 32578) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 32578) |
103TS0200X Psychologist, School (Licence: TX 32698) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2016-05-17 |