NPI | 1144331075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: IL 071005499) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071005499) |
103TC0700X Psychologist, Clinical (Licence: IL 071005499) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-09-10 |