| NPI | 1538456249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-14-15533) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL CC67650411P) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-04-25 |