| NPI | 1811304660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00571000) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 021231) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021231) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00571000) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2020-02-03 |