| NPI | 1487736120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00435400) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 68 016217) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-06-25 |