| NPI | 1578986816 |
|---|---|
| Former Name | AMANDA NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CO PSY.004275) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042746A) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY.004275) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2021-09-10 |