| NPI | 1629338926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015268) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-14-17879) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-09-24 |