| NPI | 1699291401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021896-1) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2021-01-25 |