| NPI | 1376746727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 016730) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003557) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-12-09 |