NPI | 1174681209 |
---|---|
Former Name | NANCY FORREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0001049) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071005310) |
103TC0700X Psychologist, Clinical (Licence: IL 071005310) | |
103T00000X Psychologist (Licence: DE B1-0001049) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2016-03-24 |