| NPI | 1235379926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018036) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: ME PS1254) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2019-04-26 |