| NPI | 1326252032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS008333L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS008333L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS008333L) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-08-28 |