| NPI | 1972845741 |
|---|---|
| Former Name | HEATHER M AMBROSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: VA 0810005214) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical (Licence: VA 0810005788) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-08-08 |