| NPI | 1932458155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 28867) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 28867) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 019531) | |
| 103TC0700X Psychologist Clinical (Licence: NY 019531) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2018-07-11 |