| NPI | 1700368719 |
|---|---|
| Former Name | KARMEN SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 11236) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 11236) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-10-29 |