| NPI | 1639750979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS019153) |
| 103T00000X Psychologist (Licence: NJ 6372) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-08-18 |