| NPI | 1568071884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010539) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2021-05-29 |