| NPI | 1346464476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00246300) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS-005103-L) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-08-31 |