| NPI | 1154535672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00381200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00381200) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00381200) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-01-27 |