| NPI | 1821643925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 024419) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-05-12 |