| NPI | 1467619585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 121-007) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS016425) |
| 103T00000X Psychologist (Licence: PA PS016425) | |
| 103T00000X Psychologist (Licence: NJ 121-007) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-08-08 |