NPI | 1639321979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 25823) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3522) |
Enumeration Date | 2008-10-17 |
Last Update Date | 2008-10-17 |