NPI | 1588982631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149023584) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2010-05-13 |
Last Update Date | 2022-01-11 |