NPI | 1124134556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011259) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 011259) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-08 |