| NPI | 1821151457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 014394-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014394-1) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 014394-1) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 014394-1) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-01-03 |