NPI | 1932406287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-15-18023) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149014589) |
Enumeration Date | 2011-02-23 |
Last Update Date | 2025-05-08 |