NPI | 1508259003 |
---|---|
Former Name | MARIA CATHERINE GROSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2015042889) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2015042889) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2020-09-02 |