| NPI | 1144490681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 017575) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 017575) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2022-09-28 |