NPI | 1780862219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008926) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103TP0016X Psychologist, Prescribing (Medical) (Licence: IL 074000002) | |
101YP2500X Counselor, Professional (Licence: IL 180.007281) | |
Enumeration Date | 2008-02-06 |
Last Update Date | 2020-10-22 |