| NPI | 1053789230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 4625) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL 9328) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2016-12-14 |