| NPI | 1942633870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AZ PSY-005175) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.009762) |
| 103T00000X Psychologist (Licence: AZ PSY-005175) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2022-06-08 |