NPI | 1790522480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071011380) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012091) |
103TC1900X Psychologist, Counseling (Licence: PA PS020065) | |
Enumeration Date | 2024-07-10 |
Last Update Date | 2025-06-30 |