NPI | 1982734984 |
---|---|
Former Name | MELODY HUSKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: ID PSY-202392) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: ID PSY-202392) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2014-07-09 |