NPI | 1285893669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008380) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 149008380) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2010-12-20 |