| NPI | 1205046422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OR 2686) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 71007292) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: IL 71007292) | |
| 103TC0700X Psychologist Clinical (Licence: IL 71007292) | |
| 103TF0200X Psychologist Forensic (Licence: IL 71007292) | |
| 103TH0004X Psychologist Health (Licence: IL 71007292) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-10-21 |