| NPI | 1578354833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 40435) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-16 |