| NPI | 1063596005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 30727) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 30727) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-03 |