| 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 |