NPI | 1538209796 |
---|---|
Former Name | PAULA SHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NE 300488) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NE 300488) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2007-07-08 |