| NPI | 1356689947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100489100) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100489100) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |