| NPI | 1427591130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI 5657) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI 5657) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI 5657) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI 5657) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |