| NPI | 1770919771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: UT 10283158-2501) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 019117) |
| 103TC0700X Psychologist, Clinical (Licence: UT 10283158-2501) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2021-11-08 |