| NPI | 1891192852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00622100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020815 -1) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2020-01-24 |