| NPI | 1013411321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-19-39549) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-47920) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-11-27 |