| NPI | 1407069941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-03-1395) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 1-03-1395) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 1-03-1395) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-09-25 |