| NPI | 1265021943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 003344) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA 003344) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 017802) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 017802) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |