| NPI | 1023111960 | 
|---|---|
| Former Name | MARILYN A NEYER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: WV 751)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 4940)  | 
| Enumeration Date | 2006-09-06 | 
| Last Update Date | 2008-08-06 |