NPI | 1568401123 |
---|---|
Former Name | JENNIFER MERLE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810001987) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810001987) |
103TC0700X Psychologist, Clinical (Licence: GA PSY002693) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2018-05-23 |