| NPI | 1356785398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 013469-1) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 013469) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-29 |