NPI | 1255662011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 009440-1) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 009440-1) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2010-01-19 |