| NPI | 1699750018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 117391-2501) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 117391-2501) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-07-30 |