NPI | 1083846414 |
---|---|
Former Name | KAREN COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY 8871) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NM 1224) |
103T00000X Psychologist (Licence: VA 0810004652) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2022-08-05 |