NPI | 1114083003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004982) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071004982) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2010-12-22 |