| NPI | 1497875199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: PA PS016347) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS016347) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS016347) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2017-08-15 |