| NPI | 1487910998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 11519395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.021478) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-05-17 |