NPI | 1992578439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071021062) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
103T00000X Psychologist (Licence: MI 6301019503) | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2023-11-06 |
Last Update Date | 2025-07-15 |