NPI | 1497598080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 025804) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025804) |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-06-13 |