| NPI | 1497456107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103T00000X Psychologist (Licence: TX 39747) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-13 |