NPI | 1437127982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ SI3458) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00345800) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2016-01-26 |