| NPI | 1972336139 |
|---|---|
| Former Name | MOLLY RUTH GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TX 70196) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: VT 8069884) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |