| NPI | 1982891388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS016921) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0000899) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2015-10-26 |