NPI | 1639655632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.009787) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009787) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2018-07-13 |