| 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 |