| NPI | 1467006791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 024593) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-11-09 |