| NPI | 1013205822 |
|---|---|
| Former Name | NANAKO NEGOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005188) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: HI PSY-1718) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2019-10-28 |