| NPI | 1205011954 |
|---|---|
| Former Name | KRISTINE ANN BORDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA PSY003130) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003130) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2012-09-10 |