| NPI | 1427713627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00729700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00729700) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 213-079) | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2025-05-15 |