| NPI | 1760740294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 39319) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL C23472088864) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2023-07-12 |