| NPI | 1306498142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL PENDING) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3671-57) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-31 |