| NPI | 1053850172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 2987) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 33123) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |