| NPI | 1689030504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00538000) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00538000) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00538000) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-04-27 |