| NPI | 1376748780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 32126) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32126) |
| 103TC0700X Psychologist, Clinical (Licence: NY 019916) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-01-09 |