| NPI | 1376125856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA PSY32209) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX PSY38982) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2022-09-20 |