| NPI | 1750644324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 4987) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 018878) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |