| NPI | 1093379927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA 020202) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 022700) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-08-12 |