| NPI | 1336287663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 015824-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015824-1) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 015824-1) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 015824-1) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-10-16 |