| NPI | 1811967326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS004981-L) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS 004981-L) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-07-01 |