| NPI | 1881690063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS005771L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA ps-005771-l) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-03-17 |