| NPI | 1881810018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 24813) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 24813) |
| 103G00000X Clinical Neuropsychologist (Licence: TX 24813) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-11-09 |