| NPI | 1932789013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022112) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-56199) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-08-04 |