| NPI | 1750830857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 1816097) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-16-22593) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-04-15 |