NPI | 1497019475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP5639) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071008806) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2022-05-18 |