NPI | 1639235997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005872) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: IL 071005872) |
103G00000X Clinical Neuropsychologist (Licence: IL 071005872) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2007-07-13 |