| NPI | 1174738181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NC 4870) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 016313-1) |
| 103G00000X Clinical Neuropsychologist (Licence: NC 4870) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 4870) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 016313-1) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2021-10-10 |