Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities |
NPI | 1184962748 |
---|---|
Provider Name | Roniesha Nicol Parish |
First Address | Houston, TX 77036-6148 |
Second Address | Houston, TX 77036-6148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2013 |
Last Update Date | 16/01/2013 |