| NPI | 1003165069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 019178) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019178) |
| 103TC0700X Psychologist, Clinical (Licence: SC 1198) | |
| 103TC0700X Psychologist, Clinical (Licence: LA 1179) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 019178) | |
| 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00556200) | |
| 103G00000X Clinical Neuropsychologist (Licence: SC 1198) | |
| 103G00000X Clinical Neuropsychologist (Licence: LA 1179) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2016-06-07 |