| NPI | 1609212877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149021503) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2023-02-07 |