NPI | 1306171814 |
---|---|
Former Name | SHANA J. ASBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MI 6301013545) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013545) |
Enumeration Date | 2009-10-16 |
Last Update Date | 2023-05-12 |