| NPI | 1194281956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00602800) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 022506) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |