| NPI | 1851314322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 015472) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 15472) |
| 103TC0700X Psychologist, Clinical (Licence: NY 015472) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-07-05 |