| NPI | 1851733208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36658) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY25779) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2020-11-05 |