NPI | 1396490405 |
---|---|
Former Name | TANIESH LUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AK 184612) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AK 184612) |
Enumeration Date | 2022-02-16 |
Last Update Date | 2023-04-13 |