| NPI | 1164703971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021601) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021601) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2016-08-27 |