| NPI | 1578979092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36588) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 36588) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |