| NPI | 1770862807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021233) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NY 021233) |
| 103T00000X Psychologist (Licence: NY 021233) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NY 021233) | |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2022-04-23 |