| NPI | 1164588364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 3243) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 012047-1) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |