| NPI | 1053897025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48928) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-21-48928) |
| 106S00000X Behavior Technician (Licence: IL 18-60264) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-01-13 |