| NPI | 1083122766 |
|---|---|
| Former Name | KELSEY ERIN SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.009662) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009662) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-04-18 |