| NPI | 1407121643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34724) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 34724) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |