| NPI | 1124240247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 152.000262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.022742) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2026-03-10 |