| NPI | 1427277177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00374500) |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NJ 35SI00374500) |
| 103TR0400X Psychologist Rehabilitation (Licence: NJ 35SI00374500) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-03-21 |