| NPI | 1578890018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007637) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071007637) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071007637) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007637) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 071007637) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2013-10-16 |