| NPI | 1518224062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 019094) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 39563) |
| 103T00000X Psychologist (Licence: NY 019094) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-04-02 |