| NPI | 1043610694 |
|---|---|
| Former Name | ABIGAIL STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO 4084) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY9120) |
| 103TC0700X Psychologist Clinical (Licence: FL PY9120) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2021-10-27 |