| NPI | 1477103794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 38080) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38080) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-06-01 |