| NPI | 1043545510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33198) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 33198) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2014-03-10 |