NPI | 1508952383 |
---|---|
Former Name | AIMEE VICKERS RIFFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 20191) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 20191) |
103TC0700X Psychologist, Clinical (Licence: CA 20191) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2021-08-20 |