NPI | 1225568900 |
---|---|
Former Name | ERICA LYNN SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 988) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NE 570) |
103G00000X Clinical Neuropsychologist (Licence: IA 110651) | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2024-01-03 |