| NPI | 1902114622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical (Licence: PA PS016840) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TH0100X Psychologist Health Service | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2022-04-18 |