NPI | 1295128882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6258) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 023143) |
103G00000X Clinical Neuropsychologist (Licence: NJ 6258) | |
103TC0700X Psychologist, Clinical (Licence: NJ 023143) | |
Enumeration Date | 2015-03-06 |
Last Update Date | 2020-05-16 |