| NPI | 1558087627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.114153) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-22-236330) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2025-10-17 |