| NPI | 1588672539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 015022) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015022-1) |
| 103TC0700X Psychologist, Clinical (Licence: NY 015022-1) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-03-03 |