| NPI | 1467820944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3566) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021324) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 021324) | |
| 103G00000X Clinical Neuropsychologist (Licence: CT 3566) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2016-07-25 |