| NPI | 1962745588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 020956) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 020956) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-02-22 |