| NPI | 1780872374 |
|---|---|
| Former Name | CARISSA R NEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IA 001204) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP5020) |
| 103T00000X Psychologist (Licence: IA 001204) | |
| 103TC0700X Psychologist, Clinical (Licence: MN LP5020) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-02-06 |