| NPI | 1538372974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 1021012) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-08-09 |