| NPI | 1538368022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 9539) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 9539) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NY 9539) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |