NPI | 1063498996 |
---|---|
Former Name | JENNIFER E DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: RI PS00820) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS00820) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2012-01-20 |