NPI | 1336629633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 5946) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00594600) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2023-10-18 |