NPI | 1144678020 |
---|---|
Former Name | ALICIA VANDEN BUSSCHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301018407) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301018407) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-12-09 |