| NPI | 1013948272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 012465) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 012465-1) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-11 |