| NPI | 1154319317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100258100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100258100) |
| 103G00000X Clinical Neuropsychologist (Licence: NY 005360-1) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |