NPI | 1174765176 |
---|---|
Other Name | KERRI L BRADLEY-RONNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004803) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071004803) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-04-06 |