NPI | 1194000216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 019294) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY25369) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2016-12-22 |