| NPI | 1649816265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.020271) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT1986419) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2026-03-02 |