| NPI | 1265470082 |
|---|---|
| Former Name | VICKIE RENEA BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AR 11-16p) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TN P2103) |
| 174400000X Specialist (Licence: TN P2103) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-06-16 |