| NPI | 1457823221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YP2500X Counselor, Professional (Licence: IL 178018634) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-07-31 |