| NPI | 1386047587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 10069750-2501) |
| Additional Taxonomies | 2084P0805X (Licence: CA 26667) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2021-10-21 |