| NPI | 1871900639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 021287) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2018-03-17 |