NPI | 1770573479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 071006917) |
103G00000X Clinical Neuropsychologist (Licence: IL 071.006917) | |
103T00000X Psychologist (Licence: IL 071.006917) | |
Enumeration Date | 2005-10-24 |
Last Update Date | 2022-08-25 |