| NPI | 1225436546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015678) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041S0200X Social Worker, School (Licence: IL 149015678) | |
| 251S00000X (Licence: IL 1-14-10063) | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2023-02-01 |