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