| NPI | 1346743671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022688) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 18-49962) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2021-01-06 |