| NPI | 1174928881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 023090) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY9159) |
| 103TC0700X Psychologist, Clinical (Licence: FL PY9159) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2021-12-06 |