| NPI | 1750597647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-25-80016) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL TC92450503P) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-03-20 |