| NPI | 1063998813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 18-0253-109072) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-08-08 |