| NPI | 1245125764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00781500) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS020321) |
| 103TF0200X Psychologist, Forensic (Licence: NJ 35SI00781500) | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |