NPI | 1871168666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 2419061) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 11255) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2024-11-05 |