| NPI | 1366060220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS019039) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00645700) |
| 103T00000X Psychologist (Licence: NJ 35SI00645700) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-10-17 |