| NPI | 1730534587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 38732) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM 1409) |
| 103TC0700X Psychologist, Clinical (Licence: NM 1409) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2026-02-03 |