| NPI | 1154521318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 025364) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 025364) |
| 103TS0200X Psychologist, School (Licence: CT 5267043746) | |
| 103TS0200X Psychologist, School (Licence: NY 2160719) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2024-06-18 |