NPI | 1326256272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071006726) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006726) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |