| NPI | 1225134190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 008859) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 008859) |
| 103TA0700X Psychologist Adult Development & Aging (Licence: NY 008859) | |
| 103TC0700X Psychologist Clinical (Licence: NY 008859) | |
| 103TH0100X Psychologist Health Service (Licence: NY 008859) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NY 008859) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-02-08 |