| NPI | 1225013360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS015773) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015773) |
| 103TH0004X Psychologist, Health (Licence: PA PS015773) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: PA PS015773) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS015773) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2009-10-19 |