| NPI | 1912348764 |
|---|---|
| Former Name | LISA RIVKA LIBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042808A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 11212660) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-06-10 |