| NPI | 1124799481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.024953) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-56582) |
| 104100000X Social Worker (Licence: IA 087331) | |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2025-07-29 |