NPI | 1972823755 |
---|---|
Former Name | REGINA MOON SHERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048-0134303) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2010-06-03 |
Last Update Date | 2022-06-22 |