| 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 |