| NPI | 1659994671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019043) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: VA 0810006229) |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS019043) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-02-01 |