| NPI | 1649362807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6644) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: OH 6644) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS15015878) | |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS15015878) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-11-13 |