| NPI | 1346773595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023735) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 023735) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 023725) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-12-14 |