NPI | 1336319979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007310) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 2660-057) |
103G00000X Clinical Neuropsychologist (Licence: IL 071.007310) | |
103TC0700X Psychologist, Clinical (Licence: WI 2660-057) | |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-11 |