| NPI | 1700113883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: GA 3768) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 68 018375) |
| 103TC0700X Psychologist, Clinical (Licence: NY 68 018375) | |
| 103TC0700X Psychologist, Clinical (Licence: MA 9432) | |
| 103G00000X Clinical Neuropsychologist (Licence: MA 9432) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2016-05-16 |