| NPI | 1255634739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.01555) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2023-11-29 |