NPI | 1194412262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010963) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.010963) |
103G00000X Clinical Neuropsychologist (Licence: IL 071.010963) | |
Enumeration Date | 2023-04-19 |
Last Update Date | 2024-09-13 |