| NPI | 1932128311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 015021) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: GA PSY002893) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-10-31 |