| NPI | 1982303004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.022295) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-23-64250) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2025-12-04 |