| NPI | 1659613842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS017312) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017312) |
| 103TC0700X Psychologist Clinical (Licence: PA PS017312) | |
| 103TF0000X Psychologist Family (Licence: PA PS017312) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-02-09 |