| NPI | 1669784468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34341) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34341) |
| 103TH0004X Psychologist, Health (Licence: TX 34341) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-05-26 |