| NPI | 1477644425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010471) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071010471) |
| 225X00000X Occupational Therapist (Licence: CA 9825) | |
| 225X00000X Occupational Therapist (Licence: NE 1282) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-12-13 |