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 |