| NPI | 1457437923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 016356) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016356) |
| 103TC0700X Psychologist, Clinical (Licence: NY 016356) | |
| 103TH0100X Psychologist, Health Service (Licence: NY 016356) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 016356) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 016356) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 016356) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-03-15 |