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 |