| NPI | 1548479371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002471) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 015532) |
| 103T00000X Psychologist (Licence: CT 002471) | |
| 103T00000X Psychologist (Licence: NY 015532) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |