| NPI | 1053856161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001001) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-16-24226) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2025-06-11 |