| NPI | 1699009407 |
|---|---|
| Former Name | ANDREA LYNN HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34346) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34346) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2024-03-27 |