| NPI | 1306131636 |
|---|---|
| Former Name | PAIGE MISSION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301019175) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 6286) |
| 103G00000X Clinical Neuropsychologist (Licence: WI 3593) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-11-17 |