NPI | 1770828287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.007768) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007768) |
Enumeration Date | 2012-12-10 |
Last Update Date | 2018-03-17 |