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 |