| NPI | 1548405095 |
|---|---|
| Former Name | SAMANTHA LEE SIMMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.0003227) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3227) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 3227) | |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2021-09-10 |