| NPI | 1992150510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS018625) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018625) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-06-07 |