| NPI | 1043173867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 40594) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 40594) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-07-30 |