| NPI | 1437429925 |
|---|---|
| Former Name | COURTNEY M CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY9096) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2015-07-09 |