| NPI | 1275560377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013922) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 013922) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 013922) | |
| 103TH0004X Psychologist, Health (Licence: NY 013922) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-03-20 |