| NPI | 1467945675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 3772) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 022650) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-09-10 |