| NPI | 1003461757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-22-61802) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-49702) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-11-29 |