| NPI | 1578067856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS019340) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-09-09 |