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 |