| NPI | 1306101621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI005754) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI005754) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2017-04-25 |