NPI | 1336472943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38722) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.007744) |
103G00000X Clinical Neuropsychologist (Licence: IL 071.007744) | |
Enumeration Date | 2009-09-14 |
Last Update Date | 2023-09-12 |