| NPI | 1538685441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017076) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-09-05 |