| NPI | 1740329564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY R-014648) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: DE B1-0000942) |
| 103T00000X Psychologist (Licence: NY R-014648) | |
| 103T00000X Psychologist (Licence: DE B1-0000942) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-02-06 |