| NPI | 1316182512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 018003-1) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 9052) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-06-26 |