| NPI | 1871743328 |
|---|---|
| Former Name | EMILY JO ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003221) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2008-09-21 |
| Last Update Date | 2011-06-28 |