| NPI | 1013408665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 37854) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: TX 37854) |
| 103G00000X Clinical Neuropsychologist (Licence: TX 37854) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-05-11 |