NPI | 1245550748 |
---|---|
Former Name | ANDREA R MOREAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042428A) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TH0100X Psychologist, Health Service (Licence: IN 20042428A) | |
Enumeration Date | 2010-06-07 |
Last Update Date | 2023-01-02 |