| NPI | 1053899344 |
|---|---|
| Former Name | ANNALISE MARIE RAHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016966) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301016966) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-01-07 |