| NPI | 1942480926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 010371) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 010371) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 010371) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NY 010371) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |