| NPI | 1841489937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 13357) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 13357) |
| 103TH0004X Psychologist, Health (Licence: NY 13357) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2019-03-15 |