NPI | 1114040227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071-006810) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071-006810) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071-006810) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2008-07-15 |