| NPI | 1104420538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001675) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 023991) |
| 103G00000X Clinical Neuropsychologist (Licence: DC PSY1001675) | |
| 103T00000X Psychologist (Licence: NY 023991) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1001675) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 023991) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2021-03-31 |