| NPI | 1073798179 |
|---|---|
| Other Name | CASEY ACKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports (Licence: CA PSY21348) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21348) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA PSY21348) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2016-10-04 |