NPI | 1467985408 |
---|---|
Former Name | DANIELLE FLATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4854) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
Enumeration Date | 2017-04-06 |
Last Update Date | 2024-10-17 |