| NPI | 1598915498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 025975) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025975) |
| 103G00000X Clinical Neuropsychologist (Licence: CT 3921) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 3921) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2023-09-19 |