| NPI | 1255303483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS007393L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PS007393L) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-04-24 |