| NPI | 1316579535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100622400) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100622400) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-06-05 |