NPI | 1891844882 |
---|---|
Former Name | RISA NAKASE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MS 40-010) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 40-010) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2009-08-17 |