| NPI | 1013763879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-24-72277) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1753) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-06-20 |