| NPI | 1710443163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 026394) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 30621) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-06-03 |