| NPI | 1356882070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150.114867) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 1041C0700X Social Worker, Clinical (Licence: IL 150114867) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2025-01-17 |