NPI | 1285727495 |
---|---|
Former Name | JUDITH A. CLEMENTSON-MOHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 328) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 328) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |