| 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 |