| NPI | 1639199276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 013288) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00377700) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-04-24 |