| NPI | 1033686498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-56793) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-68575) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2021-12-22 |