| NPI | 1194319624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 304700) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 007290) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |