| NPI | 1376147900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 38583) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 32285) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-12-17 |