| NPI | 1568775211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00484400) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 101-A438) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2022-12-01 |