| NPI | 1386777449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 0156581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 0156581) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-06-17 |