| NPI | 1134578677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 3678) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 011178-1) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |