| NPI | 1649393562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 3-1590) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 3-1590) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2018-07-06 |