NPI | 1649830159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.009984) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.009984) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-17 |