NPI | 1548414139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS015126) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA PS015126) |
Enumeration Date | 2008-11-09 |
Last Update Date | 2008-11-09 |