| NPI | 1649741976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.021158) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-03-12 |