| NPI | 1598173494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 020694) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020694) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2019-08-01 |