| NPI | 1437885480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.020822) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-21-170863) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2024-12-20 |