| NPI | 1417931601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016274) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: PA SL005220 L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS016274) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL005220 L) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2024-01-24 |