| NPI | 1396189734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00502500) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 019341) |
| 103T00000X Psychologist (Licence: NJ 35SI00502500) | |
| 103T00000X Psychologist (Licence: NY 019341) | |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2015-04-17 |