| NPI | 1376741512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 015586) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 015586) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 015586) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |