NPI | 1598100224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 30790) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180010245) |
103T00000X Psychologist (Licence: CA 30790) | |
225C00000X Rehabilitation Counselor (Licence: IL 180010245) | |
Enumeration Date | 2013-05-08 |
Last Update Date | 2023-07-22 |