| NPI | 1033553003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00568600) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS017428) |
| 103G00000X Clinical Neuropsychologist (Licence: TX 36384) | |
| 103T00000X Psychologist (Licence: NJ 35SI00568600) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2018-05-21 |