NPI | 1962762781 |
---|---|
Former Name | JANICE DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: TX 36128) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 33132) |
Enumeration Date | 2012-05-26 |
Last Update Date | 2012-05-26 |