| NPI | 1194084962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4912) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017366) |
| 103TH0004X Psychologist, Health (Licence: PA PS017366) | |
| 103TH0004X Psychologist, Health (Licence: NJ 35SI00491200) | |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS017366) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 4912) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS017366) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2023-06-14 |