| NPI | 1740292523 |
|---|---|
| Former Name | ANGELA D WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 00995) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IA 00995) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-03-17 |