| NPI | 1114298791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001005) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0001005) |
| 103TR0400X Psychologist, Rehabilitation (Licence: DE B1-0001005) | |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS017616) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS017616) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: PA PS017616) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2015-02-12 |