| NPI | 1356573547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002923) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015866) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2018-06-20 |