NPI | 1003092008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.007330) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP7084) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2024-11-21 |