NPI | 1083921076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007946) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071007946) |
Enumeration Date | 2010-09-12 |
Last Update Date | 2022-10-16 |