NPI | 1659512440 |
---|---|
Former Name | DAWN MARIE REDONDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 8187) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8187) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2013-08-13 |