| NPI | 1114488681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS018764) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018764) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-09-10 |