NPI | 1245662154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.007360) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.007360) |
103TA0700X Psychologist, Adult Development & Aging (Licence: IL 071.007360) | |
103TC0700X Psychologist, Clinical (Licence: IL 071.007360) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.007360) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 071.007360) | |
103TS0200X Psychologist, School (Licence: IL 071.007360) | |
Enumeration Date | 2013-08-01 |
Last Update Date | 2022-03-08 |