| NPI | 1164557948 |
|---|---|
| Former Name | MARY LINDA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 35100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 35100) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 11373) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-12-01 |