| NPI | 1710459789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016297) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-74573) |
| Enumeration Date | 2019-01-01 |
| Last Update Date | 2024-07-24 |