| NPI | 1033862891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015046) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |