| NPI | 1851736425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071010103) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY28386) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-12-10 |