| NPI | 1144873159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: WI 5131) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 2018013237) |
| 103G00000X Clinical Neuropsychologist (Licence: IL 071.010747) | |
| 103T00000X Psychologist (Licence: MO 2018013237) | |
| 103T00000X Psychologist (Licence: IL 071.010747) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-03-25 |