NPI | 1427270099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100361300) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 099660) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-10-23 |