NPI | 1255774360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 0200131) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 0200131) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2022-07-21 |