| NPI | 1578879433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-37412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.011093) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2019-09-23 |