| NPI | 1003217571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009641) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 020878) |
| 103TC0700X Psychologist Clinical (Licence: NY 020878) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2018-12-04 |