| NPI | 1811338205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023126) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 023126) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2021-03-03 |