| NPI | 1093009599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 3113) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 019104) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2024-02-20 |