| NPI | 1487146940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00681700) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS-018440) |
| 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00681700) | |
| 103T00000X Psychologist (Licence: PA PS-018440) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-01-11 |