| 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 Mental Retardation & Developmental Disabilities (Licence: IL 071.007360) | |
| 103TS0200X Psychologist School (Licence: IL 071.007360) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2022-03-08 |