| NPI | 1336140573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS-006039-L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS-006039-L) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-07-12 |