| NPI | 1124143243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 001825) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 001825) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 011912-1) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 011912-1) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2017-06-07 |