| NPI | 1982193108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.016939) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-01-28 |