| NPI | 1144411513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38769) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2006034116) |
| 103T00000X Psychologist (Licence: TX 38769) | |
| 103G00000X Clinical Neuropsychologist (Licence: MO 2006034116) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2022-08-31 |