NPI | 1982766887 |
---|---|
Former Name | CYNTHIA VALENTINE HEYWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OR 2346) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: OR 2346) |
103TS0200X Psychologist School | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2015-05-11 |