| NPI | 1336507656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 9919) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 9919) |
| 103TC0700X Psychologist, Clinical (Licence: MA 9919) | |
| 103TC1900X Psychologist, Counseling (Licence: MA 9919) | |
| 103TH0100X Psychologist, Health Service (Licence: MA 9919) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MA 9919) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MA 9919) | |
| 103G00000X Clinical Neuropsychologist (Licence: NY 020907) | |
| 103T00000X Psychologist (Licence: NY 020907) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 020907) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 020907) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 020907) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 020907) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2017-04-19 |