| NPI | 1447355268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS009186L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS009186L) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-09-04 |