| NPI | 1427480946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019789) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2016-06-08 |