| NPI | 1043060650 |
|---|---|
| Former Name | BRITTANY ELIZABETH FUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 202325) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103TC0700X Psychologist, Clinical (Licence: AR 202325) | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-08-26 |