| NPI | 1336390996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00462700) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 017379) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2010-04-25 |