NPI | 1760981963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-17-37803) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.102764) |
Enumeration Date | 2018-02-03 |
Last Update Date | 2018-02-03 |