| NPI | 1447737069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.017676) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-46996) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-05-24 |