| NPI | 1558391318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 009092) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 009092) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-09-14 |