| NPI | 1346899010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00601500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00601500) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2021-06-21 |