| NPI | 1043362494 |
|---|---|
| Former Name | GLORIA ANN BRINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 1164) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 2355) |
| 103TC0700X Psychologist, Clinical (Licence: AL 1164) | |
| 103TC0700X Psychologist, Clinical (Licence: GA 2355) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |