| NPI | 1104194745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-11-9591) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071008741) |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2020-05-09 |