| NPI | 1982944179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 11280137-2501) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC0700X Psychologist, Clinical (Licence: UT 11280137-2501) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2024-03-01 |