| NPI | 1043688740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 024325-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024326) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2023-02-01 |