NPI | 1255889291 |
---|---|
Other Name | JESSICA SADIE SPAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021709) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 021709) |
Enumeration Date | 2016-09-20 |
Last Update Date | 2016-11-22 |