NPI | 1538419221 |
---|---|
Former Name | CANDACE HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AL 2355) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY003559) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2024-08-12 |