| NPI | 1215582028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 11371944-2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 11371944-2501) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2020-01-20 |