NPI | 1760790216 |
---|---|
Former Name | VERONICA BORDES EDGAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36857) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2010-09-17 |
Last Update Date | 2014-09-05 |