| NPI | 1699449835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 17055) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 38979) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-07-28 |