| NPI | 1639595879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 022028) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 22028) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2023-06-29 |