| NPI | 1053319947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY004728) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 016390) |
| 103TC0700X Psychologist, Clinical (Licence: NY 016390) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2025-06-24 |