| NPI | 1104147651 |
|---|---|
| Former Name | ALAINA SAMPLES CONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY004369) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA LPC005800) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-06-03 |