NPI | 1497159461 |
---|---|
Former Name | NIKI ANDREA DESANTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 2464) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TC0700X Psychologist, Clinical (Licence: CA PSY 12507) | |
103TR0400X Psychologist, Rehabilitation (Licence: OR 2464) | |
Enumeration Date | 2014-10-20 |
Last Update Date | 2015-02-19 |