| NPI | 1497933147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36774) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 36774) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2023-02-07 |