NPI | 1922847045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS020170) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS020170) |
Enumeration Date | 2024-05-20 |
Last Update Date | 2024-10-01 |