| NPI | 1962951467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071.010871) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009464) |
| 103G00000X Clinical Neuropsychologist (Licence: MI 6301019157) | |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2024-01-09 |