| NPI | 1437588621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00511300) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00511300) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2020-12-29 |