| NPI | 1487338935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 024702-01) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 5193-57) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 024702-01) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-05-28 |