| NPI | 1720521677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.103673) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-16-22093) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2020-06-15 |