NPI | 1952535841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4669) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 4669) |
103T00000X Psychologist (Licence: NJ 4669) | |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-09-03 |