NPI | 1952784589 |
---|---|
Other Name | JANA W NICKELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071009044) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071009044) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2023-10-18 |