| NPI | 1750816856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 106S00000X Behavior Technician (Licence: IL BACB360427) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2022-12-28 |