NPI | 1770851883 |
---|---|
Former Name | DANIELLE NICOLE LANDWHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00504200) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS017122) |
103G00000X Clinical Neuropsychologist (Licence: MD 04926) | |
Enumeration Date | 2011-12-03 |
Last Update Date | 2018-10-08 |