NPI | 1235127218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00438500) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 051-A243) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2023-07-24 |