NPI | 1265880975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.009267) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-009267) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2024-04-30 |