| NPI | 1295163046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ SI002965) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ SI002965) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2018-08-02 |