| NPI | 1437817996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.021589) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-21-184576) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2025-05-19 |