| NPI | 1497044952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 37406) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 05354) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-10-13 |