| 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 |