| NPI | 1295489995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00663900) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 024039) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-03-07 |