| NPI | 1962705517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 014959) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014959) |
| 103T00000X Psychologist (Licence: HI PSY - 1151) | |
| 103TS0200X Psychologist, School (Licence: NY 1792810) | |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2021-07-01 |