NPI | 1487829867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007463) |
Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 071007463) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2014-11-25 |