| NPI | 1245269117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 014787) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 20814) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-10-25 |