| NPI | 1831143841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS005656L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ SI00282400) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |