NPI | 1912997800 |
---|---|
Other Name | EVELYN ANGELIQUE GRAYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WA PY00001825) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: WA PY00001825) |
103TR0400X Psychologist, Rehabilitation (Licence: WA PY00001825) | |
103T00000X Psychologist (Licence: WA PY00001825) | |
Enumeration Date | 2005-10-24 |
Last Update Date | 2009-04-14 |