| NPI | 1609047299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 39220) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 024006-01) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2023-03-14 |