NPI | 1043410608 |
---|---|
Former Name | KELLY JARRATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 06-39P) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 34329) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2024-06-11 |