| NPI | 1992152250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 023364) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 023364) |
| 103TC0700X Psychologist, Clinical (Licence: NY 023364) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2024-10-16 |