| NPI | 1871879445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36317) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 68019362) |
| 103TC0700X Psychologist, Clinical (Licence: TX 36317) | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2018-05-25 |