NPI | 1306211032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS017942) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017942) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2016-01-11 |