| NPI | 1295057081 |
|---|---|
| Other Name | C. ALIX TIMKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016132) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04423) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2020-07-07 |