| NPI | 1013526755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL 106500000x) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 106S00000x) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |