NPI | 1255836839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS019912) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: SC PSY.1499) |
103T00000X Psychologist (Licence: SC PSY.1499) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-05-28 |