| NPI | 1811206253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 101-A447) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 018037) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-28 |