| NPI | 1134455249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34030) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 21044) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2022-07-21 |