| NPI | 1467700583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ 4337) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008310) |
| 103TC0700X Psychologist, Clinical (Licence: AZ 4337) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-09-14 |