NPI | 1578535852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 015986) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015986) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2007-11-19 |