| NPI | 1427055995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 012260) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS015237) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-08 |