NPI | 1568426286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015685) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS015685) |
103T00000X Psychologist (Licence: PA PS015685) | |
103TA0700X Psychologist, Adult Development & Aging (Licence: PA PS015685) | |
103TR0400X Psychologist, Rehabilitation (Licence: PA PS015685) | |
Enumeration Date | 2006-04-12 |
Last Update Date | 2020-09-09 |