| NPI | 1700527884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149026774) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150110148) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-03-14 |