NPI | 1518218866 |
---|---|
Former Name | AMBERROSE A REALE-CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY11322) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2012-09-26 |
Last Update Date | 2023-03-23 |