NPI | 1174502371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS004201L) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: PA PS004201L) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2007-07-08 |