| NPI | 1750662011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00557200) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS017077) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-04-26 |