| NPI | 1720539794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: TX 25811) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 25811) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |