| NPI | 1144077306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018421) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-22-58906) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |