NPI | 1386962231 |
---|---|
Former Name | CASSIE ANN FAULHABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 4090) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 4090) |
103G00000X Clinical Neuropsychologist (Licence: CO 3972) | |
103TA0700X Psychologist Adult Development & Aging (Licence: CO 3972) | |
103TC0700X Psychologist Clinical (Licence: CO 3972) | |
Enumeration Date | 2010-05-16 |
Last Update Date | 2022-01-12 |