NPI | 1144680703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004854) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071-004854) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2022-08-07 |