NPI | 1386803377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007265) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071007265) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007265) | |
Enumeration Date | 2008-06-04 |
Last Update Date | 2011-06-15 |