| NPI | 1750866869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100620100) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 022930) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-12-05 |