| NPI | 1780626192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 013454) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 013454) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-03-03 |