| NPI | 1063913176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00589700) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2021-01-07 |