| NPI | 1427481027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00550000) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00550000) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00550000) | |
| 103G00000X Clinical Neuropsychologist (Licence: NY 021138) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 021138) | |
| 103T00000X Psychologist (Licence: NY 021138) | |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2016-04-05 |