NPI | 1689982274 |
---|---|
Former Name | KRISTIN LYNN SOMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AZ PSY-004293) |
Enumeration Date | 2010-09-17 |
Last Update Date | 2019-11-26 |