NPI | 1780956482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018322) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-14-16116) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2018-12-12 |