| NPI | 1497963847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 013031) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013031) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-03-08 |