NPI | 1932484136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.008178) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY24391) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2016-08-15 |