| NPI | 1275944308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 11176324-2501) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 4450) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2021-11-22 |