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 |