| NPI | 1629278387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS-005745-L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS-005745-L) |
| 103G00000X Clinical Neuropsychologist (Licence: DE B1-0000489) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS-005745-L) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: DE B1-0000489) | |
| 103TC0700X Psychologist Clinical (Licence: DE B1-0000489) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS-005745-L) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: DE B1-0000489) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |