| NPI | 1932146172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 2620-057) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 31547) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2015-01-20 |