| NPI | 1497966634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149015086) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2019-11-11 |