| NPI | 1790200343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00623700) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2026-01-14 |