NPI | 1225255102 |
---|---|
Other Name | IDA SUE BARON-STARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 02300) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810002315) |
103G00000X Clinical Neuropsychologist (Licence: MD 02300) | |
103G00000X Clinical Neuropsychologist (Licence: VA 0810002315) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-07-08 |