| NPI | 1336193341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36245) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2478-57) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WI 2478) | |
| 103TH0004X Psychologist Health (Licence: WI 2478-57) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-03-17 |