NPI | 1043643935 |
---|---|
Former Name | DANIELLE MARIE MCNEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 168047) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: KY 168047) |
103G00000X Clinical Neuropsychologist (Licence: KY 168047) | |
Enumeration Date | 2013-08-14 |
Last Update Date | 2021-02-02 |