NPI | 1205126976 |
---|---|
Former Name | KATHYRN MARIA VINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS016970) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00530900) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2020-01-06 |