| NPI | 1104207190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS018668) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 021059) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-03-27 |