| NPI | 1417996042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS007945L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS007945L) |
| 103TS0200X Psychologist, School (Licence: PA PS007945L) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |