NPI | 1104069038 |
---|---|
Former Name | TESS SILER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0004128) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1118) |
103TR0400X Psychologist, Rehabilitation (Licence: CO PSY.0004128) | |
Enumeration Date | 2009-04-07 |
Last Update Date | 2024-10-24 |