| NPI | 1902632235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 40220) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 40220) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-07-22 |