| NPI | 1114025434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004663) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IL 071004663) |
| 103K00000X Behavior Analyst (Licence: IL 1118506) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 071004663) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-06-24 |