| NPI | 1003457672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00758300) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS018910) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-11-26 |