| NPI | 1871953273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34764) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 34603) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2018-06-07 |