| 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 |