| NPI | 1063964153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-33765) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2022-04-27 |