| NPI | 1811179989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36953) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY19000) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2015-03-27 |