| NPI | 1003825340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 31245) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 3-1245) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-01-17 |