| NPI | 1366534943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 6274715-2501) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: UT 6274715-2501) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-06-04 |