| NPI | 1629025044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-30939) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 152001169) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.014536) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2025-10-29 |