| NPI | 1982916813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008126) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7131) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-05-10 |