| NPI | 1699921924 |
|---|---|
| Former Name | KAITIN A PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS017699) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017699) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-06-18 |