| NPI | 1386494482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00815200) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA PSY10000889) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2026-08-19 |